Overview
North Bay has recognized the need for more mental health supports and has prioritized the need for an increase in access to 24/7 mental health supports outside of a hospital setting (Mayor’s Roundtable 2020). Moreover, in 2020, The Gateway Hub Table identified mental health and cognitive functioning as the top risk high-level risk priority (Gateway Hub, 2020). Similarly, the North Bay Police Service (2018) note that out of the approximate 30,000 calls the North Bay Police Service receives a year; 20% of the calls are primarily related to mental health and addictions. The Mayor’s Roundtable report (2020) indicates the Nipissing District has higher rates for levels of mood disorders, anxiety disorders, and suicide than the provincial average.
In terms of children's mental health, approximately 1 out of 4 hospital crisis calls are responded to by Community Mental Health child and family therapists (Mayor’s Rountable, 2020). Although crisis calls represent a need, capacity is required for timely treatment to mitigate and reduce risks and the potential for family breakdown. Similarly, the North Bay Parry Sound District Health Unit have indicated that 1 out of 4 students in the region wanted to speak with someone about a mental health concern but did not know how to access supports (North Bay Parry Sound District Health Unit, 2017a).
The difficulty in navigating the local service system continues as it was more recently identified in the network mapping and focus groups (see the sub-reports also). There must be equal access to health services and social supports given they are important determinants of health (Mayor’s Roundtable, 2020). This illustrates that not only are adults experiencing mental health-related concerns in the region but children and adolescents are also experiencing these same concerns and not receiving adequate access to services.
The North Bay survey noted those requiring programs and services indicate they need family doctors/physicians; medical specialists; affordable access to physiotherapy; therapists; chiropractors; counselling; (more mental health programs and services were also mentioned in this physical health section); increased access to recreational and physical activity, both indoors and outdoors (recreational centres, gyms, fitness centres, tennis and basketball courts, pools, running tracks, walking/hiking/bike trails, parks, greenspace); and police presence and programs. Respondents added that it is essential that physical health services and recreation and physical activities are affordable.
Outcomes:
Performance Measures:
Actions | Timelines | Output Indicators | Status | Partners Needed |
Expand the capacity of mental health services for adults including the recruitment and training of staff. | 1 Year |
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Completed |
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Expand the capacity of mental health services for children including the recruitment and training of staff |
1 Year | Completed | ||
Where mental health and addictions are presented together, ensure there is coordinated case management between mental health and addictions service providers |
1 Year | In-Progress | ||
Link individuals that have been discharged from mental health programs to ongoing support programs |
1 Year | Completed | ||
Ensure the larger public establishments are welcoming and inviting to those with mental illness (i.e. reduce the associated stigma) |
1 Year | In-Progress | ||
Actions | Timelines | Output Indicators | Status | Partners Needed |
Conduct a review of the waitlist demand for psychiatric care and primary care (i.e. family doctors and nurse practitioners) services. |
1 Year |
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|
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Explore opportunities to increase capacity for psychiatric care. This may include the recruitment of additional psychiatrists. | 1-3 Years | Completed | ||
Explore opportunities to increase capacity for primary care. This may include the recruitment of additional family doctors and/or nurse practitioners. |
1-3 Years | In-Progress |
Actions | Timelines | Output Indicators | Status | Partners Needed |
Increase the hours of operation to provide services 24 hours per day and 7 days a week. | 1 Year |
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In-Progress |
|
Expand the number of Mobile Crisis Service teams based on peak demand hours. |
1-3 Years | Completed |